Product image of Levoxigram (Levofloxacin) supplied by GNH India

Levoxigram

Active Ingredient:
Levofloxacin
Origin:
EU

Levoxigram (Levofloxacin)

Levofloxacin, the active ingredient in Levoxigram, is a fluoroquinolone antibiotic presented as an oral dosage form for oral use. It treats bacterial infections such as urinary tract, respiratory, skin and soft‑tissue, and sinus infections in adult patients and is marketed across the European Union. The product conforms to EU pharmacopeial specifications and is intended for prescription use under medical supervision.

GNH India supplies Levoxigram as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring reliable supply chains and regulatory compliance.

Manufacturer / TM Owner

Aesculapius Farmaceutici S.R.L.

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Indications & Clinical Uses

Levoxigram, a fluoroquinolone antibiotic, is employed to treat bacterial infections affecting several organ systems.

  • Urinary tract infections: eradicates causative bacteria, relieving symptoms and preventing recurrence.
  • Respiratory tract infections: targets pathogens in bronchitis, pneumonia and exacerbations of chronic lung disease.
  • Skin and soft‑tissue infections: eliminates bacterial growth in cellulitis, abscesses and wound infections.
  • Sinusitis: reduces bacterial load in acute sinus inflammation, improving drainage and pain.

How It Works

  • Levofloxacin exerts its antibacterial activity by binding to bacterial DNA gyrase (topoisomerase II) and topoisomerase IV. Inhibition of these enzymes prevents the supercoiling and separation of DNA strands required for replication and transcription, leading to bactericidal effects against a broad spectrum of Gram‑negative and Gram‑positive organisms. The drug penetrates tissues and fluids, achieving concentrations above the minimum inhibitory concentration for susceptible pathogens.

Side Effects

Levofloxacin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea
  • Diarrhea
  • Headache

Serious or Rare Side Effects

  • Tendon rupture or inflammation
  • QT interval prolongation leading to arrhythmia
  • Severe allergic reactions such as Stevens‑Johnson syndrome

Precautions & Warnings

Levoxigram requires careful use to minimise risks.

  • Assess renal function: adjust dose in patients with impaired clearance.
  • Avoid in patients with known hypersensitivity to fluoroquinolones.
  • Use caution in elderly: higher risk of tendon injury and CNS effects.
  • Monitor for tendon pain or swelling: discontinue if symptoms appear.
  • Avoid concomitant use with drugs that prolong QT interval.
  • Store at room temperature: keep in original packaging, protect from moisture and light.

Avoid Interactions

Levoxigram can interact with several medicines; some combinations should be avoided while others need monitoring.

Major Interactions (Avoid)

  • Antacids or supplements containing aluminum, magnesium, calcium or iron: markedly reduce levofloxacin absorption.
  • Warfarin: potentiates anticoagulant effect, increasing bleeding risk.
  • Theophylline: raises plasma theophylline levels, heightening toxicity.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may increase risk of central nervous system stimulation and seizures.
  • Oral contraceptives: efficacy may be reduced, consider additional contraceptive methods.
  • Cyclosporine: levofloxacin can increase cyclosporine concentrations, requiring renal function monitoring.

Frequently Asked Questions

Levoxigram contains levofloxacin, a fluoroquinolone antibiotic that is prescribed to treat a variety of bacterial infections, including urinary tract infections, respiratory tract infections such as bronchitis or pneumonia, skin and soft‑tissue infections, and acute sinusitis. It is used in adult patients when a broad‑spectrum antibacterial agent is required.

Levofloxacin works by binding to bacterial enzymes DNA gyrase (topoisomerase II) and topoisomerase IV. These enzymes are essential for DNA replication and transcription. Inhibiting them prevents the bacteria from copying and repairing their DNA, leading to bacterial cell death and clearance of the infection.

The specific dose of Levoxigram is determined by the prescribing healthcare professional based on the type and severity of the infection, the patient’s renal function, age, and other clinical factors. Dosage regimens may vary, and the prescriber will provide the appropriate instructions for each individual case.

Safety data for levofloxacin in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any potential risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the risks and alternatives with their healthcare provider.

To order Levoxigram, submit an enquiry on the product page at gnhindia.com indicating the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then respond with pricing, availability, shipping details and any required import documentation.

Levoxigram (levofloxacin) is a third‑generation fluoroquinolone offering once‑daily dosing and a broad spectrum against Gram‑negative and Gram‑positive bacteria. Compared with older fluoroquinolones such as ciprofloxacin, it often provides higher tissue penetration and a more convenient dosing schedule, but shares similar safety considerations, including tendon‑related risks and QT prolongation.

Levoxigram should be stored at room temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Levoxigram is taken orally, usually with a full glass of water. It can be taken with or without food, but if antacids or mineral supplements are required, they should be spaced at least two hours apart to avoid reducing drug absorption. Follow the prescriber’s instructions for timing and duration of therapy.

Serious adverse reactions to Levoxigram include tendon rupture or inflammation, QT‑interval prolongation that can lead to life‑threatening arrhythmias, severe hypersensitivity reactions such as Stevens‑Johnson syndrome, Clostridioides difficile‑associated colitis, and peripheral neuropathy. Patients should seek immediate medical attention if they experience sudden joint pain, palpitations, rash, or neurological symptoms.

Levoxigram should be avoided in individuals with a known hypersensitivity to levofloxacin or other fluoroquinolones, those with a history of tendon disorders related to fluoroquinolone use, patients with a prolonged QT interval, and anyone currently taking medications that significantly interact with levofloxacin without appropriate monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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